Paper Free NHS
Kevin Percival
ED Senior Staff Nurse
Symphony System Manager
Frimley Park Hospital NHS Foundation Trust
Could the National Programme have been a
success?
• Yes
• Why didn’t it?
• Thought – is the vision to be paperless just the national progamme
delivered in a different way?
• Locally driven now.
A Paper free NHS
What do we mean?
Why?
What are the risks and benefits? For Nurses and Patients
What Examples have we got to go paper free?
• Banking System
• Airline Flight’s
• Internet Shopping
• Parcel Delivery Companies
• Lottery on-line
• STOP – ONE CLEAR REASON THEY ARE NOT EXAMPLES
Choice
Do Patient’s have a choice to use the NHS or Not?
What Examples have we got to go paper free?
• Banking System – we choice which bank to use
• Airline Flight’s – we have a choice of which airline to use and to pay
extra to have a boarding card
• Internet Shopping – you can choose to go to the shops
• Parcel Delivery Companies – don’t order parcels, get them yourself
• Lottery Online – Go to the shops and pick up a ticket
• The NHS – Choose not to get sick – unrealistic!
Typical NHS Office
Quite possibly
Paper free – What does it really mean
• Paperless
• Paper-lite
• Using less Paper
• EDM
• Electronic Referral System’s
Why?
Is it worth the Pain?
Because the
Secretary of
State for Health
Tells us we have
to?
http://www.practicebusiness.co.uk/news/1770/jeremy-hunt%3A-nhs-paperless-by-2018/– Accessed 01/06/2013
Some make you
believe
There will
not be an
NHS unless
we go
Paperless
http://www.publicservice.co.uk/news_story.asp?id=22395 – Accessed 01/06/2013
What the patients say?
Why do I need to
tell you my
medication again,
you have it all on
your computer
there.
Scenario
• If you went into your bank to take some money out and they said that
because you had not been to the branch before you had to tell them
everything about yourself before they would give you any money.
• Would you be happy with this?
• No
• So why do we treat patients in the NHS like it?
Risks and Benefits
To the Patients and Nurses?
Barriers to being
paperless
What some
people
think it
means to
them
What is important to Patients?
What is important to Nurses and
Health Care Professionals
What did we learn from
the Mid Staffordshire
Public Enquiry
How can Informatics and
a paper free NHS try to
prevent this from
happening again?
What did we learn from the Mid Staffordshire
Public Enquiry
• If something is in a paper record and never read than that is where it
will stay
• If something is in a electronic system it can be flagged and read by
those that need to see it
• It can be used to analyse the care provided
• It can be used to help make a difference so the same mistake does
not happen twice
Vital Signs – Patient Safety Agenda
• An example from my own trust
• There is audit evidence that only about 70% of observations are actually done
and/or recorded when done paper based
• When electronic systems are introduced recording increases to nearly 100%.
• Partly, this is due to the fact that it is obvious where the gaps are and, perhaps
more importantly, who is responsible.
• Steps in tasks can be made compulsory and there is no ‘corner-cutting’ or
skipping items
http://www.buildingbetterhealthcare.co.uk/technical/article_page/Comment_How
_healthcare_IT_can_help_address_the_findings_of_the_Francis_Report/86940
Accessed 2/6/13
Its worth remembering….
If patient information is captured it can be investigated, analysed and
presented in meaningful way to those that need that information this
therefore provided the ability to remember and learn from mistakes as
well as provide a real-time picture of how things are, were and to
prevent mistakes from happening again
The Information Journey
Data
Information
Knowledge
Conclusion
A Paper free NHS is not about taking all the paper out of the NHS, it is
about making sure the information we hold on society is the most
useful and meaningful form to benefit not only the patient but the
population as a whole.
Any Questions
Kevin Percival
Telephone:
01252 649235
E-mail
Kevin.Percival@fph-tr.nhs.uk
Kevin.Percival@nhs.net
Twitter
@kevin_percival